Comparison of the Effectiveness of Different Non-Pharmacological Methods in Reducing Injection Pain in Preschool Children: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Pain Rating Scale
研究概览
简要总结
In emergency departments, various methods can be used to reduce the pain experienced by children. However, the most important requirement is that the selected method provides rapid and effective results. Accordingly, it is essential that interventions performed in emergency settings are carried out in a way that enables children to experience the least possible pain and anxiety and that the long-term effects of pain are prevented. Recently, the Helfer Skin Tap Technique (HSTT), which is applied to reduce stress and pain, and the palm stimulator, which is held in the palm and has raised projections on its surface to reduce pain perception by facilitating distraction, have attracted attention. ShotBlocker is a noninvasive, U-shaped plastic device with small projections that is used to reduce injection-related pain in children who are sensitive to pain. In addition, a bee-shaped device called Buzzy®, which combines external cold application and vibration, is also widely used. These methods have been proven to be effective in reducing pain in pediatric patients during invasive procedures such as intramuscular injections and intravenous cannulation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 4 Years 至 6 Years(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Children aged between 4 and 6 years,
- •An intramuscular (IM) medication order was prescribed by a physician,
- •The IM injection was administered in the pediatric emergency department,
- •No history of chronic pain-causing illness,
- •No diagnosis of neurodevelopmental disorders,
- •Had not received any analgesic medications in the past 6 hours,
- •No history of syncope (fainting) during previous injections,
- •No diagnosis of mental retardation,
- •No scar tissue or muscle atrophy at the intended injection site,
- •Body mass index (BMI) percentile between the 10th and 90th percentiles for age and gender,
- •Both child and parent provided informed consent to participate in the study.
排除标准
- •Participants were excluded from the study if:
- •The child was younger than 4 or older than 6 years,
- •There was scar tissue or muscle atrophy at the injection site,
- •The child or parent had communication difficulties,
- •The child's BMI was below the 10th percentile (cachectic) or above the 90th percentile (obese),
- •Either the child or parent declined to participate in the research.
研究组 & 干预措施
intervention group Palm
Palm stimulator
干预措施: Palm (Other)
intervention group ShotBloker
ShotBloker device
干预措施: ShotBlocker (Other)
intervention group HSTT
HSTT application
干预措施: HSTT (Other)
Control group
Rutin
结局指标
主要结局
Pain Rating Scale
时间窗: 6 weeks
The Wong-Baker FACES Pain Rating Scale was used to assess self-reported pain levels. This scale consists of six facial expressions ranging from "no hurt" (0) to "hurts worst" (10), allowing children to select the face that best represents their level of pain.
次要结局
未报告次要终点
研究者
öznur tiryaki
Associate Professor
Sakarya University
